Department of Cardiac Surgery, Santa Maria della Misericordia Hospital, Perugia, Italy.
ASAIO J. 2010 Jan-Feb;56(1):35-6. doi: 10.1097/MAT.0b013e3181c8ef0e.
Extracorporeal membrane oxygenation (ECMO) is becoming a gold standard in acute heart failure, not responsive to inotrops and intra-aortic balloon contrapulsation. This diffusion is due to the possibility to implant it through peripheral cannulation and to perform long-time assistance. Nevertheless, this technique implies some problems concerning inferior limb perfusion. It is widely accepted that arterial distal cannulation and perfusion of the limb is mandatory, especially for long periods of assistance; but the necessity to implant a distal venous drainage is still discussed. We would like to present our experience on peripheral ECMO where we could avoid venous distal drainage uneventfully.
体外膜肺氧合（ECMO）正在成为对正性肌力药物和主动脉内球囊反搏无反应的急性心力衰竭的金标准。这种扩散是由于可以通过外周插管进行植入并进行长时间辅助的可能性。然而，该技术涉及一些与下肢灌注有关的问题。人们普遍认为，尤其是在长时间辅助治疗期间，动脉远端插管和肢体灌注是强制性的；但是，植入远端静脉引流的必要性仍在讨论中。我们将介绍我们在体外膜肺氧合中的经验，在这种情况下，我们可以顺利地避免静脉远端引流。
